Published in:
01-11-2010 | Test Yourself: Question
A 65-year-old man presents with pelvic pain
Published in: Skeletal Radiology | Issue 11/2010
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A 65-year-old man presented to the emergency room after suffering for 1 week with diffuse pelvic pain. Past medical history includes diabetes mellitus type II, hypertension, and arthritis. On physical examination he was found to have diffuse anterior pelvic wall tenderness. White blood cell count and hematocrit were normal. An anteroposterior pelvic radiograph was performed first (Fig. 1), followed by a noncontrast-enhanced CT (Fig. 2).
Fig. 1
Anteroposterior pelvic radiograph demonstrates mild sclerosis and cortical irregularity at the symphysis pubis, with preservation of the joint space
Fig. 2
a Noncontrast-enhanced axial CT of the pelvis with b coronal reformat demonstrates intra-articular, well-demarcated erosions with sclerotic margins and overhanging edges. There is a slightly hyperdense (47 HU), partially calcified soft tissue mass surrounding the pubic symphysis
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